REDACTED - FOR AGENDA ATTACHMENT - OTB ACQUISITION LLC.PDF

Maricopa County — Formal (2024-05-22)

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MARICOPA COUNTY

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100

Phoenix, Arizona 85003
Phone: (602) 506-8511
Fax: (602) 506-1102

TREASURER’S OFFICE http://treasurer.maricopa.gov
To: Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov
From: Treasurer’s Office
Maria Quitangon yn
maria.quitangon@maricopa.gov
602-506-1958
Cathy Sanchez (%
cathy.sanchez@maricopa.gov
602-506-7881
Re: Stale Dated Warrant
Name Warrant Amount | Dept/School
No
OTB Acquisition LLC 952500 $717.46 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/Check

Affidavit/Claim Form

This application is for: Oo Duplicate or fal Stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
OTB ACQUISITION LLC (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 11/1 7/2022 (date)(2) a warrant/check was issued to the

above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.

Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement

warrant/check be issued to him/her in the sum of $217.46 (3)

Signed: Ard > Lazer (4)

Print name: (required) KENDRICK LOGAN - TAX AGENT

Note, Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

(5) Subscribed and sworn to before me this Zz = day of AL 20. Fis
PWV bbe. P Wantiuc

NOTARY PUBLIC

ie commission opr

KP MICHELLE P MARTINEZ
oC KS@\_ Notary 1D #133508097
wn ie) My Commission Expires

WeareY December 29, 2025

(seal)
Warrant/Check Number
(if. known) (6) 952500
Original Date of Issue
dled 11/17/2022
Reason for original issue of Warrant/Check (8):
O Payroll
O For Services or Goods furnished
Treasurer's refund/payment
O Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc
Revised 100518 ARS. 11-632 & 11-644
VERE ey
4leopr4

pe

Maricopa County Treasurer's Office

Refund ID 2022023272 MTG_BATCH

&. Refund ID 2022023272 MTG_BATCH
File Help

eT ee oe -

| Refund Amount: [$717.46

Requester, [MORTGAGE on 11/1/2022

| Refund Reason:
|

[Mortgage Rejects - see attached list

]
Status: [DISBURSED on 11/1/2022
Slip 1D: [202200835

Address: [OTB ACQUISITION LLC

C/O MARVIN F POER AND COMPANY

Impounds | Stub | Comments |

Check Request: [MORTGAGE DESK |
Reference #: [MTGBATCH 00499

| | Source Fund | Linked | Amount | Tax Year | Status
| [064 False $717.46 2022 READ
|
< >
Impound Total : 1

Impound #1

Parcel/Roll :[000-00-000 Dest fund: Jo2e
CP #: 0 Reso: 0
CP buyer # [0 Phase t: [0

Mortgage code: [0009

Transaction #: JMO 0003
Case #: J

5/1/2024 8:30:08 AM

PROGRAM ID: CSH FINISH_MTG_BATCH_POSTING @1-NOV-2022

MARICOPA COUNTY TREASURER'S OFFICE PAGE: 1
BATCH EXCEPTIONS REPORT
PAYMENT DATE: 26-OCT-2022
TRANSACTION: MO0-0009
OTB ACQUISITION LLC

LOAN PARCEL TAX H TAX AMOUNT OVER/UNDER TRANS EXCEPTION
NUMBER NUMBER YEAR C OWED PAID AMOUNT TYPE REASON
944-29-125 @ 2022 1 545.36 584.82 39.46 @6 619

UNDERPAYMENTS : ®.00
PROGRAM ID: CSH FINISH_MNTG_BATCH_POSTING @1-NOV-2022
MARICOPA COUNTY TREASURER'S OFFICE PAGE: 2

BATCH REJECTED PAYMENTS REPORT
PAYMENT DATE: 26-OCT-2022
TRANSACTION: MO-0009

OTB ACQUISITION LLC

C/O MARVIN F POER AND COMPANY

LOAN PARCEL TAX H AMOUNT TRANS EXCEPTION
NUMBER NUMBER YEAR a PAID TYPE REASON
944-22-008 1 2022 F 678.00 @6 e601

REJECTED PAYMENTS: = 678.00
TOTAL REFUND: = 717.46

EXCEPTION REASON DESCRIPTION

6 ee hehe ne a a ee a ee

@@1 INVALID PARCEL, CONTACT ASSESSOR

004 2ND HALF PAYMENT WITH FIRST HALF DUE
@13 PROBLEM WITH PAYMENT, CONTACT OUR OFFICE
@19 OVERPAYMENT

@20 UNDERPAYMENT

@24 RESOLUTION PENDING, CONTACT OUR OFFICE
@3@ TAXES ALREADY PAID

@31 TAX LIEN EXISTS

@34 TAX LIEN PENDING